When clean intermittent catheterization (CIC) through the urethra is not possible, appendicovesicostomy (APV), also known as the Mitrofanoff technique, is an option. This involves using the appendix as a catheterization channel. However, in selected cases, a transversely tubularized bowel segment may be used instead.

APV has usually been performed using an open surgical approach. Numerous investigations have supported the feasibility of using a robotic-assisted laparoscopic Mitrofanoff